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Reasons for dissatisfaction ten years after TVT procedure

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Abstract

Introduction and hypothesis

The aim of the study was to assess the reasons for dissatisfaction 10 years after TVT placement.

Methods

Patients who underwent TVT surgery between 1999 and 2001 at two participating units were included. All patients who did not consider themselves to be cured were asked for their reasons.

Results

141 out of 210 patients (81 %) were available for follow-up (median 116 months). In the group of 56 patients who did not consider themselves cured, the reasons were OAB symptoms in 29 patients (52 %), stress urinary incontinence in 13 patients (23 %), and complaints of mixed urinary incontinence in 8 patients (14 %). 85 % of all patients reporting urgency complaints at the time of follow-up and 66 % of patients with SUI at the time of follow-up did not consider themselves cured.

Conclusions

In most cases overactive bladder symptoms were the reason for dissatisfaction. The results of this study support using composite outcomes to assess the results of surgery for urinary incontinence.

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Funding

None.

Conflicts of interest

Thomas Aigmueller: Astellas (paid travel expenses).

Vesna Bjelic-Radisic: Astellas (paid travel expenses).

Susanne Hinterholzer, Julia Kargl, Rene Laky, Gerda Trutnovsky, Vassiliki Kolovetsiou-Kreiner, Karl Tamussino: none.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria

    Thomas Aigmueller, Vesna Bjelic-Radisic, Rene Laky, Gerda Trutnovsky, Vassiliki Kolovetsiou-Kreiner & Karl Tamussino

  2. Department of Gynecology and Obstetrics, Landesklinikum Moedling, Mödling, Austria

    Julia Kargl & Susanne Hinterholzer

Authors
  1. Thomas Aigmueller
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  2. Vesna Bjelic-Radisic
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  3. Julia Kargl
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  4. Susanne Hinterholzer
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  5. Rene Laky
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  6. Gerda Trutnovsky
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  7. Vassiliki Kolovetsiou-Kreiner
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  8. Karl Tamussino
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Corresponding author

Correspondence to Thomas Aigmueller.

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Aigmueller, T., Bjelic-Radisic, V., Kargl, J. et al. Reasons for dissatisfaction ten years after TVT procedure. Int Urogynecol J 25, 213–217 (2014). https://doi.org/10.1007/s00192-013-2213-9

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  • DOI: https://doi.org/10.1007/s00192-013-2213-9

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